The shortage of CMS updates—including crucial enrollment details—creates uncertainty, but companies that plan ahead might be in the best placement As Steve notes, "It can be a fascinating time to go silent; if timelines slip, it could compress actions later inside the 12 months, but designs should have planned previously for the many things to do." MMIT (Managed Markets Insight & Technologies)

Prior to working from the healthcare business, he spent fifteen yrs employing Innovative quantitative analytics to enhance consumer loyalty and retention throughout banking, marketplace research and database advertising and marketing agencies.

As passionate as we are about our answers, we’re also obsessed with our staff. ACG’s staff is selected and crafted close to each staff member’s demonstrated accomplishment in earlier working positions in the market or with regulatory companies.

Jennifer has significant challenge management, organization and IT administration, 3rd-celebration Resolution, products improvement and vendor management experience which might be utilized in almost any organizational ecosystem. She has served in Management positions at Ernst & Youthful, and service provider, seller and payer corporations.

Elizabeth serves as plan director in ATTAC’s Data Audit Group. She supports customers on consulting engagements relevant to Medicare Gain and Component D enrollment, reconciliation and premium billing operations, exactly where she provides steerage on enterprise approach structure and approach controls and oversight and monitoring.

Moreover, she has efficiently led statewide expansions and network adequacy service provider contracting builds across numerous states.

He also guides venture teams supporting enterprise method Investigation, reengineering and structure and enhancements of core systems supporting the industrial, Medicare and Medicaid sectors. Ilya has held consulting roles with other corporations and served as Medicare functions lead for Horizon BCBS and in operations capacities at Aetna, Inc.

Linda delivers much more than thirty a long time of expertise to customers within the health and fitness insurance policy and managed care industries. She is a senior guide with practical experience in devices, functions, management and implementations.

We’re captivated with our sector and getting it appropriate. We’re pleased with our popularity amongst business leaders to complete in depth operational analyses and to design and supply rock-reliable finish-to-close alternatives.

He's known for his Management in regulatory audits, compliance program progress, and risk mitigation for big well being strategies.

Her arms-on experience supports organizations in preparing for NCQA accreditation and CMS utilization administration audits, As well as in driving Price reduction through powerful care management and utilization management programs.

Carmen is actually a member of ACG’s Wellbeing Approach Operations and Government Applications Follow Groups. She supplies purchasers aid in the event of effective internal auditing and downstream monitoring programs, and provides operational experience within the areas of enrollment and top quality billing (Primarily MA and Portion D), appeals and grievance management, HEDIS reporting and management of external audits.

In combination with designing and developing provider networks through the entire US, David has broad experience helping shoppers in developing service provider networks and Conference regulatory health plan consulting necessities for Medicare, Medicaid, and employer group options.

Darlene is really a member of ACG’s Federal government Packages Observe Group. She delivers broad experience in organizational growth and compliance management from the Medicare and Medicaid arenas. For over a dozen many years, she has held senior authorized and compliance roles in the insurance and managed care industries, where she has led activities as varied as wellbeing prepare begin-up, management of JCAHO and NCQA accreditation, condition and CMS regulatory oversight audits, managed line obligation for grievances and appeals, gross sales agent oversight and industry perform coupled with business enterprise procedures and plan for corporate report retention. She has Earlier labored for Centene Company, AmeriGroup and United Healthcare.